Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11633 | Date 10/06/2024 |
| Token No | SM/24-25/16787 10/06/2024 | Serial | 036 |
| Patient Name | Mrs. SUDESHNA TARATDAR | Contact No | 9547373839 |
| Address | 29 JN LAHIRI ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||